Abstract
Congenital pseudarthrosis of the radius or ulna is a rare entity. It is associated with neurofibromatosis, but occurs much less commonly than congenital pseudarthrosis of the tibia. Pseudarthrosis of the forearm can lead to pain, deformity, and limited forearm rotation. Nonsurgical management leads to poor results, as do surgical treatments such as open reduction internal fixation and conventional bone grafting. The transfer of a free vascularized fibula to the forearm pseudarthrosis has been more successful, and it is our preferred method of treatment for children with this condition. Because the transfer is often performed in young children, there is the potential for valgus deformity at the ankle after the fibula is removed. We describe here our technique for the transfer, including the technique for distal tibiofibular fusion (Langenskiöld procedure) after removal of the fibular graft. In addition, we present the results of 5 patients who have undergone this combination of procedures for pseudarthrosis of the forearm at our institution.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 144-150 |
| Number of pages | 7 |
| Journal | Techniques in Hand and Upper Extremity Surgery |
| Volume | 17 |
| Issue number | 3 |
| DOIs | |
| State | Published - Sep 2013 |
| Externally published | Yes |
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Keywords
- congenital pseudarthrosis
- free vascularized fibula
- neurofibromatosis
ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine
Cite this
Free vascularized fibular transfer with langenskiöld procedure for the treatment of congenital pseudarthrosis of the forearm. / Bauer, Andrea S.; Singh, Avreeta K.; Amanatullah, Derek; Lerman, Joel; James, Michelle.
In: Techniques in Hand and Upper Extremity Surgery, Vol. 17, No. 3, 09.2013, p. 144-150.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Free vascularized fibular transfer with langenskiöld procedure for the treatment of congenital pseudarthrosis of the forearm
AU - Bauer, Andrea S.
AU - Singh, Avreeta K.
AU - Amanatullah, Derek
AU - Lerman, Joel
AU - James, Michelle
PY - 2013/9
Y1 - 2013/9
N2 - Congenital pseudarthrosis of the radius or ulna is a rare entity. It is associated with neurofibromatosis, but occurs much less commonly than congenital pseudarthrosis of the tibia. Pseudarthrosis of the forearm can lead to pain, deformity, and limited forearm rotation. Nonsurgical management leads to poor results, as do surgical treatments such as open reduction internal fixation and conventional bone grafting. The transfer of a free vascularized fibula to the forearm pseudarthrosis has been more successful, and it is our preferred method of treatment for children with this condition. Because the transfer is often performed in young children, there is the potential for valgus deformity at the ankle after the fibula is removed. We describe here our technique for the transfer, including the technique for distal tibiofibular fusion (Langenskiöld procedure) after removal of the fibular graft. In addition, we present the results of 5 patients who have undergone this combination of procedures for pseudarthrosis of the forearm at our institution.
AB - Congenital pseudarthrosis of the radius or ulna is a rare entity. It is associated with neurofibromatosis, but occurs much less commonly than congenital pseudarthrosis of the tibia. Pseudarthrosis of the forearm can lead to pain, deformity, and limited forearm rotation. Nonsurgical management leads to poor results, as do surgical treatments such as open reduction internal fixation and conventional bone grafting. The transfer of a free vascularized fibula to the forearm pseudarthrosis has been more successful, and it is our preferred method of treatment for children with this condition. Because the transfer is often performed in young children, there is the potential for valgus deformity at the ankle after the fibula is removed. We describe here our technique for the transfer, including the technique for distal tibiofibular fusion (Langenskiöld procedure) after removal of the fibular graft. In addition, we present the results of 5 patients who have undergone this combination of procedures for pseudarthrosis of the forearm at our institution.
KW - congenital pseudarthrosis
KW - free vascularized fibula
KW - neurofibromatosis
UR - http://www.scopus.com/inward/record.url?scp=84883709742&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84883709742&partnerID=8YFLogxK
U2 - 10.1097/BTH.0b013e318295238b
DO - 10.1097/BTH.0b013e318295238b
M3 - Article
C2 - 23970196
AN - SCOPUS:84883709742
VL - 17
SP - 144
EP - 150
JO - Techniques in Hand and Upper Extremity Surgery
JF - Techniques in Hand and Upper Extremity Surgery
SN - 1089-3393
IS - 3
ER -